What is the best treatment for liver cysts?

Written by Si Li Li
Gastroenterology
Updated on December 16, 2024
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Liver cysts that are generally smaller than six centimeters do not require treatment, and surgical treatment of liver cysts is necessary for cysts larger than six centimeters.

The most common surgical method for treating liver cysts is fenestration of the cyst, which involves removing part of the cyst wall. The cyst fluid can then be directly drained into the abdominal cavity through the opening, and as the surgery concludes, the remaining cyst wall adheres and causes the cyst to be completely absorbed.

Another method is percutaneous drainage of the liver cyst, but this method may easily recur; thus, the best current treatment method is still fenestration surgery. Additionally, patients with liver cysts must abstain from alcohol and should not drink alcohol.

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Written by Si Li Li
Gastroenterology
54sec home-news-image

What is the best treatment for liver cysts?

Liver cysts that are generally smaller than six centimeters do not require treatment, and surgical treatment of liver cysts is necessary for cysts larger than six centimeters. The most common surgical method for treating liver cysts is fenestration of the cyst, which involves removing part of the cyst wall. The cyst fluid can then be directly drained into the abdominal cavity through the opening, and as the surgery concludes, the remaining cyst wall adheres and causes the cyst to be completely absorbed. Another method is percutaneous drainage of the liver cyst, but this method may easily recur; thus, the best current treatment method is still fenestration surgery. Additionally, patients with liver cysts must abstain from alcohol and should not drink alcohol.

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Written by Liu Wu Cai
Hepatobiliary Surgery
1min 1sec home-news-image

Liver cysts causing nausea, what's going on?

Generally speaking, patients with liver cysts do not experience nausea. If nausea occurs, it is necessary to complete abdominal CT scans, color Doppler ultrasounds, and other related examinations to clarify the cause. If necessary, a gastroscopy should also be performed. Simply put, liver cysts do not typically cause nausea. However, if liver cysts are complicated by a liver abscess, an acute purulent infection might occur, in which case the patient may experience symptoms related to digestion such as nausea, vomiting, abdominal distension, and diarrhea. Additionally, when biliary system diseases are complicated by a liver abscess, nausea and vomiting might also occur. Therefore, when nausea and vomiting occur in the presence of liver cysts, it is crucial first to perform the relevant examinations to determine the exact cause and then treat according to the identified cause.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Are liver cysts easy to misdiagnose?

Liver cysts are generally not easily misdiagnosed. A liver cyst is a common benign tumor of the liver, usually asymptomatic and mostly discovered during ultrasound examinations. The most common cause of liver cysts is genetic, so the diagnosis for patients with liver cysts is relatively clear. Of course, if the liver cyst is large, it may cause local compression symptoms and pain in the liver area. In such cases, it is advisable to opt for surgical removal as soon as possible to achieve a better prognosis. Therefore, the treatment of liver cysts should be assessed based on the individual's specific condition to achieve the best treatment outcomes.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Do I need to be hospitalized for interventional treatment of liver cysts?

Simple liver cysts do not require interventional treatment. However, if a patient with a liver cyst experiences rupture and bleeding, it is then necessary to undergo interventional surgery for hemostasis, and hospitalization is warranted. The intervention for the liver usually involves accessing the liver vessels through the peripheral blood vessels to perform ligation and achieve hemostasis. Generally speaking, patients with liver cysts should not be overly anxious, as it is a common benign tumor that typically does not present with notable symptoms. However, if the cysts become large, there is a possibility of rupture and bleeding, which may also affect liver function. Therefore, it is important to pay attention, and regular follow-up examinations with ultrasound are needed to monitor changes in the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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What should I do if a liver cyst fever does not go away?

If a patient with a liver cyst presents with a fever, it often indicates a concurrent liver abscess. For liver abscesses, treatment should involve the early selection of sensitive antibiotics to combat infection. Only when the inflammation is controlled can the condition be alleviated. Of course, if the condition is severe, especially when a significant abscess has formed, liver function abnormalities may also occur. In this case, puncture and drainage are necessary to better expel the pus and achieve superior therapeutic results. Additionally, the patient's diet should be light and consist of easily digestible foods to reduce the burden on the liver, facilitating recovery. Simultaneously, medications to reduce fever should also be considered.